How much rates vary
Facilitymedian $263 · 10th to 90th $148 to $955Professionalmedian $174 · 10th to 90th $141 to $240
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $177.83 | Professional | None (both parts) | $123.03 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $104.71 | Professional | 26 · Professional part | $67.61 | $91.20 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $75.86 | Professional | TC · Technical part | $56.23 | $63.10 | $75.86 |
BCBS Idaho Setting Facility Modifier None Typical Low $181.97 Median $263.03 Typical High $933.25 | Facility | None | $181.97 | $263.03 | $933.25 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $165.96 | $213.80 | $251.19 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $147.91 | Professional | 26 · Professional part | $95.50 | $125.89 | $147.91 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $91.20 Typical High $107.15 | Professional | TC · Technical part | $70.79 | $91.20 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $204.17 | Professional | None (both parts) | $154.88 | $177.83 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $114.82 | Professional | 26 · Professional part | $89.13 | $102.33 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $75.86 Typical High $87.10 | Professional | TC · Technical part | $66.07 | $75.86 | $87.10 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $223.87 | Facility | None | $154.88 | $154.88 | $223.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $131.83 | $154.88 | $208.93 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $72.44 | $91.20 | $117.49 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $89.13 | Professional | TC · Technical part | $57.54 | $63.10 | $89.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $213.80 | Facility | None | $190.55 | $213.80 | $213.80 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $218.78 | Professional | None (both parts) | $173.78 | $213.80 | $218.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $1,023.29 | Facility | None | $512.86 | $741.31 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $141.25 | $165.96 | $199.53 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $120.23 | Professional | 26 · Professional part | $83.18 | $95.50 | $120.23 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $81.28 | Professional | TC · Technical part | $60.26 | $70.79 | $81.28 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $114.82 | Facility | None | $112.20 | $112.20 | $114.82 |
Select Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $112.20 | $141.25 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $125.89 | $173.78 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $131.83 | Professional | 26 · Professional part | $72.44 | $95.50 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $56.23 | $74.13 | $102.33 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $66.07 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $26.30 | $30.90 | $32.36 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $154.88 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $123.03 | $154.88 | $181.97 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $77.62 | $77.62 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $30.90 | $30.90 | $32.36 |
Where Idaho sits
The same service costs 3.8 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 11th of 51
$174
AK $275UT $72.44
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.